Major Goals of Training Program Trainees Accepted Each Year Center for Drug Evaluation and Research (FDA) The Icahn School of Medicine at Mount Sinai Program participates in the ERAS application process. The principal objective of the Allergy and Immunology Training Program is to provide appropriate clinical and research training for physicians who are considering academic careers within the specialty of allergy and immunology. Fellows will gain experience with interpretation and management of newborns with abnormal TREC assays for T-lymphopenia/SCID. (2011) Assistant Clinical Investigator, Laboratory of Systems Biology David J. Schwartz, MD Number of Graduates Last 5 Years and Subsequent Career Choice Seemal Awan, M.D. The Division's of Allergyand Clinical Immunology and Pulmonary and Critical Care Medicine are the main occupants. and Gulbu Uzel, M.D. Janine Van Lanker M.D. Fellows also participate in inpatient consultations with attending oversight at George Washington Hospital. Allergy & Immunology, Honolulu, HI Staff Clinician/Assistant Research Physician Areas of particular focus are immunologic reactions to drugs and biologic agents, radiocontrast reactions, anaphylaxis, and immunodeficiency evaluations. 1 The COVID-19 pandemic exacerbated the problem by contributing to a more turbulent and short-staffed environment that is further taxing clinicians. Find more COVID-19 testing locations on Maryland.gov. Under the supervision . The program is designed to provide rigorous clinical training which seeks to develop competence in the care of children and adults with allergic and immunologic diseases. Joint Residency (Fellowship) Availability This is intended to provide the base for career development in academic medicine and clinical practice. The fellowship program will develop active duty military physicians who have a solid foundation in the principles of basic immunology fundamental and are able to understand and manage clinical disorders. NYPH-Columbia (IM): 7/17. Baltimore Magazine Top Doctor (from 2011 on): IN THE NEWS . NIH Mentor: Helen Su, M.D., Ph.D. Kelli Williams, M.D., M.P.H. The NIH Allergy and Immunology Clinical Fellowship Program is based in the National Institute of Allergy and Infectious Diseases. NIH- Vaccine Research Center Katherine Clarridge, M.D. Email: david.j.schwartz1.mil@mail.mil RESEARCH AREAS. Assistant Professor The allergy and immunology consultation service provides consultations for patients on protocols through the NIH Clinical Center, including the Undiagnosed Diseases Program. Learn more here. NIH Mentor: Amy Klion, M.D. NIH Mentor: Thomas Nutman, M.D. Program Director, Allergy & Immunology Clinical Fellowship Program Baltimore, MD 21224-6801 NIH Mentor: Julie Ledgerwood, M.D. The fellowship has been in existence since 1964 and strives to attain the following goals: Develop pediatric cardiologists who will provide outstanding care for children with congenital and acquired heart disease and advance the treatment and understanding of these diseases Maximize individual fellow potential and career aspirations NIH National Cancer Institute (NCI) Consider joining the Center for Cancer Research (CCR) at the National Cancer Institute for your postdoctoral . First-year fellows spend 3 months on an adult allergy and immunology rotation at George Washington Universitys Allergy, Asthma and Sinus Center (George Washington Medical Faculty Associates). Application must contain: Program Website: http://www.cc.nih.gov/training/gme/programs/allergy_immunology.html Chief, Division of Pediatric Allergy, Immunology and Rheumatology (2007) Clinical rotations covering outpatient and inpatient aspects of the specialty are completed at the NIH Clinical Center (outpatient clinics, inpatient ward, allergy and immunology consultation service, and pulmonary function lab), the Children's National Medical Center (pediatric allergy and immunology; pediatric consultations), the Johns Hopkins Pediatric Allergy Clinic (pediatric allergy, with a focus on food allergy), and the George Washington University (adult allergy; adult consultations; ENT). The Allergy and Immunology Fellowship Program is a 2-year post residency program. (2021) NIH Mentor: Micheal Leonardo, M.D. Frontiers in immunology April 15, 2021 . The program prepares a fellow to become a competent, certifiable practitioner in the specialty of military allergy-immunology. Allergist-Immunologist Johee Lee, M.D. We pride ourselves on our translational research, as well as our work on human cell biology, genetics and genomics, and animal models of allergic and other forms of inflammation. That was one the worst rejection letters I have ever received BTW. New York, Fei-Li Kuang, M.D, Ph.D. (2015) Duration of Fellowship The Johns Hopkins Asthma & Allergy Center Division of Allergy & Clinical Immunology 5501 Hopkins Bayview Circle Baltimore, MD 21224-6801 Phone: (410) 550-2191 Fax: (410) 550-2524 Program Director (Medicine Track) Sarbjit S. Saini, MD Email: ssaini@jhmi.edu Co-Director (Pediatric Track) Robert A. Ian Myles, M.D. 3 (Medicine or Pediatrics) The resources available for Clinical Teaching and Research in both the A/I and Pulmonary Sections are excellent., Years as a Fellow: 1976-1979 Current Position: Private Practice, I enjoyed the schedule of the fellowship, which was really designed to be quite similar to a schedule for a tenure tack faculty member. Eligibility for ABIM or ABP, Address Electives for Residents and Students Lasker Scholar, Chief, Translational Allergic Immunopathology Unit Initial workup, diagnostic testing, management, and follow-up care for these disorders will be emphasized. (2013) Jessica Durkee-Shock, M.D. Martin Gaudinski, M.D. Temple Hills, Maryland Find more COVID-19 testing locations on Maryland.gov. Bergerson, M.D., M.P.H. Dr. Antoine Azar, MD, is an Allergy & Immunology specialist practicing in Baltimore, MD with 24 years of experience. During this 1.5-month rotation at the NIH Clinical Center, fellows work with senior investigators and supervise and teach a team of four internal medicine residents from George Washington University and Georgetown University in the evaluation and care of patients with complex immunologic and allergic diseases, as well as complications associated with these diseases. Website: https://www.niaid.nih.gov/about/allergy-and-immunology-training-program This provided a nice introduction and transition to becoming a junior faculty member.. The time spent with faculty and fellow trainees have resulted in lifelong collaborations and friendships that cannot be matched., Years as a fellow: 1992-1994 Current Position: Professor of Pediatrics and Biophysics/Physiology, Chief, Allergy/Immunology, University of Arkansas for Medical Sciences and Arkansas Childrens Hospital, The fellowship offered unparalleled mentorship. 2 Previous COVID-19 infection is a possible surrogate for natural immunity, but 1 study suggested that 36% of COVID-recovered individuals are serologic . This includes developing an understanding of the clinical and laboratory assessment of allergic and immune system disorders, engaging in research projects, and presenting original data at national meetings. Physician, Institute for Allergy & Asthma Term 7/1/13 Current (expected completion 6/30/16) Ashley Altman joined the Division of Pediatric Allergy and Immunology Fellowship Program in 2013 after receiving her D.O. NIH Mentors: Steve Holland, M.D. Experience will also be provided in autoimmune disorders. Blood donor studies may have selection bias and lack clinical information. ; Muhammad Bilal Khalid, M.D. NIH Mentor: Julie Ledgerwood, M.D. Laboratory of Clinical Immunology & Microbiology NIH CEO/Physician at Innovative Allergy, PLLC Amanda Rudman Spergel, M.D. Each of the hospitals has an active allergy/immunology outpatient service, and each hospital is engaged in teaching of Hopkins medical students and house officers. As for the NRMP process in other specialties, we expect any fellow who accepts the position to honor this commitment. Michael Goldman, M.D. Medical Director, Vaccine Research Clinical Trials Program, NIH Number of Graduates Last 5 Years and Subsequent Career Choice The mission of MMI is to advance fundamental knowledge of human pathogens, host-microbe interactions and arthropod vectors, develop interventions to improve public health, and train scientists to conduct rigorous, ethical research while embracing diversity, inclusion and the . Elective time in allied clinical specialties can also be arranged if desired. First- and second-year fellows attend a Friday Conference. Also, during fellowship, I completed a masters in Epidemiology at the School of Public Health, which further equipped and prepared me for a career in academics., Years as a fellow: 2005-2008 Current Position: Associate Chief, Division of Allergy and Immunology, Assistant Professor of Pediatrics, Childrens National Medical Center, The fellowship provided me with lifetime mentors and colleagues who are also friends, and continues to produce the best of the best in pediatric allergy., Years as a fellow: 1994-1997 Current Position: Professor of Pediatrics, Jaffe Food Allergy Institute, Mount Sinai School of Medicine, New York, NY, Pediatric Allergy and Immunology Fellowship at Johns Hopkins provided excellent clinical and research training in a supportive and congenial work environment. Program Coordinator NIH Mentors: Steve Holland, M.D., Alexandra Freeman, M.D. The mission of the Division of Allergy and Clinical Immunology at Johns Hopkins is to promote the understanding and treatment of allergic and immunologic disorders including asthma in order to provide optimal patient health by, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. (2016) . Medical content developed and reviewed by the leading experts in allergy, asthma and immunology. Address Special Requirements Number of Graduates Last 5 Years and Subsequent Career Choice Duration of Fellowship He received his Allergy and Clinical Immunology training from the Johns Hopkins Asthma and Allergy Center in Baltimore, MD. While completing her clinical fellowship, she earned a master's degree in Epidemiology at the Harvard School of Public . The core of this clinical fellowship program is the effort devoted to research training and performing original basic, translational, and clinical research. This program is designed to obtain feedback on research and assist fellows in progressing along their career trajectory. We guarantee Federal student Loan repayment up to $35,000 per year of a fellow's qualified educational dept. Johns Hopkins University School of Medicine, 2005. . Prime Allergy And Asthma Care, Llc Expanding and improving basic science and clinical research, clinical care and education in the field of food allergies. Phone: (301) 402-3673 Nationwide Childrens Hospital Pumpkin spice: seasonal scent may not bring holiday cheer to everyone . The Immunology Institute fosters interdisciplinary, translational research in immunology, immunologic diseases, and transplantation. For more information, contact: Mindy Huynh Fellowship Coordinator Phone: 714-456-3870 Fax: 714-456-3871 E-mail: suzanl@hs.uci.edu or The Division of Basic and Clinical Immunology UCI Department of Medicine 333 City Blvd. (2019) Allergy / Immunology Vickie Lee, M.D. In-patient consultation will be provided for allergic/immunologic problems (including pediatric drug allergy, atopic dermatitis, asthma, and immunodeficiency diseases) and for select patients on hematopoietic stem cell transplantation service (with immunologic diseases). Thank you for your interest in our Allergy/Immunology Fellowship Program at USF/Johns Hopkins All Children's Hospital. Some clinical and research activities of the training program take place in other divisions of the University and at the Johns Hopkins Hospital. (2017) We are one of the largest allergy and clinical immunology divisions in the nation with a rich 40-year history, and our fellowship program has advanced the areas of pathophysiology, allergic rhinitis, immunotherapy, asthma, food allergy, anaphylaxis, drug allergy, eosinophilia and urticaria, while training internationally recognized authorities on these topics. Procedural exposure to rhinolaryngoscopy,extract preparation, allergen immunotherapy prescription writing and administration, allergen skin testing, patch testing, and pulmonary function testing are key features of this experience. 4 The mission of the Allergy and Immunology Fellowship Training Program at the University of South Florida is to provide comprehensive, clinical training in allergy and immunology to prepare physicians for clinical or academic practice. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Larkin Community Hospital Program Address 7031 SW 62nd Avenue South Miami, Fl 33143 Phone: (305) 284-7761 Program Director Hassan Nasir, DO Email: nasirhas@gmail.com Program Coordinator Lisandra Inastrilla Email: linastrilla@larkinhospital.com Major Goals of Training Program Akilah Jefferson Shah, M.D., M.Sc. CBER, FDA Allergist and Clinical Immunologist 2023 American Academy of Allergy, Asthma & Immunology. We are proud to share the Bayview Internal Medicine Residency Program and Osler Medical Residency Fellowship Match lists. Phoenix Childrens Hospital Allergist/ Immunologist In-patient hospital services are provided in the nearby Johns Hopkins Bayview Medical Center, an integral part of the Johns Hopkins Medical Institutions, and located on the same campus. Years as a Fellow: 1989-1992 Current Position: Professor of Pediatrics and Medicine, U. Wisconsin-Madison; PI of the T32-funded training program. With Johns Hopkins pediatric immunologist Robert Wood, she is currently reviewing and analyzing data from a nationwide survey examining physicians attitudes and beliefs regarding anaphylaxis. ", The Pediatric Allergy and Immunology fellowship program offers a truly unique opportunity to acquire rigorous clinical training in both allergy and immunology, as well as the chance to develop an individualized research experience that provides complete preparation for a career in academic medicine., Current Position: Assistant Professor, Johns Hopkins Childrens Center, Pediatric Allergy and Immunology, Fellowship training at JHU provided me the opportunity to grow as a clinician, teacher and researcher with critical thinking skills and networking that have provided me with a firm foundation for my career as an academic pediatrician. Senior Director, Clinical Research HIV and Emerging Viruses Director Pediatric Center of Excellence To this is coupled an intensive research experience supervised by a preceptor. As of December 28, 2021, approximately 27% of the US population was unvaccinated against SARS-CoV-2, 1 yet the prevalence of natural immunity remains unknown. The training program complies with the requirements of the ACGME and the American Board of Allergy and Immunology (ABAI). There are four positions available per year. Wood, MD Email: rwood@jhmi.edu Contact-Pediatrics The experiences at the different hospitals and outpatient clinics complement each other well and the physicians have unique clinical strengths and the patient care at each institution has a distinct emphasis as described below. For more information, contact Darin Ostrander at (410) 614-6702 . We are vaccinating all eligible patients. NIH Mentor: Ethan Shevach, M.D. Careers in A/I: Training Programs - Alabama Find an allergy / immunology training program in Alabama Careers in A/I: Training Programs - Arizona Physician, Renewal Dermatology N/A Staff Clinician, National Cancer Institute Our board-certified allergists specialize in providing comprehensive care for children and adults with hay fever (allergic rhinitis), asthma, food allergies, eczema (atopic dermatitis), contact dermatitis, drug allergies, bee sting (venom) allergies. Learn about what makes our Allergy and Immunology Fellowship Program special and unique, The goal of the Allergy and Immunology Fellowship Program at the Icahn School of Medicine at Mount Sinai is to train highly motivated internists and pediatricians to be leaders in the field of Allergy and Immunology. Providing compassionate, state-of-the-art diagnostic and therapeutic care of adults with allergic and immunologic diseases. Pulmonary medicine, rheumatology, and immunology-oriented dermatology are frequent choices. Phone: (410) 955-5883 (option: 5) Johns Hopkins and the Division of Allergy and Clinical Immunology have a special interest in encouraging the advancement of qualified women and minority applicants for training in allergy and clinical immunology. Baltimore, MD 21287 Skip Jump Links. Senior Clinician, Laboratory of Allergic Diseases A chair in his honor, the Oscar Swineford Jr., Professorship in Allergy, was established in 1976. Participate in a live-video appointment with your Johns Hopkins health care provider. In the second year of training, 20% of time is devoted to direct clinical activities, including a monthly primary immunodeficiency clinic at NIH, allergy continuity clinic, and coverage of the NIH Clinical Center Allergy and Immunology Consultation Service. Eligibility for ABIM or ABP; must have a valid unrestricted state license to practice medicine. Medical Officer Find more COVID-19 testing locations on Maryland.gov. NIH Mentor: Dennis Hickstein, M.D. Associate Professor and Fellowship Program Director, Allergy & Immunology Nathan Boggs, M.D, Ph.D.(2019) The Winkelstein Fellowship has allowed me to pursue research goals and tremendously expand my skill set in bench research. The three divisions operate outpatient clinics alongside clinical research, bringing these activities into the same building with laboratory research. Residency: Good Samaritan Hospital of Maryland . Email: ssaini@jhmi.edu The Allergy & Immunology Fellowship Training Program is a 24-month ACGME-accredited training program. Grant writing seminars and workshops/courses are designed for research fellows, clinical fellows, postdoctoral intramural research training award (IRTA) fellows, and visiting fellows (VFs), as well as tenured and tenure-track investigators. The 130,000 square foot Asthma & Allergy Center facility, which opened in 1989, also includes the Division of Pulmonary & Critical Care Medicines research facilities, and the Division of Rheumatology's Vasculitis Center. Staff Clinician/Assistant Research Physician Milad Pooran, M.D. The Allergy and Immunology Fellowship Program at Wake Forest University School of Medicine is an integrated internal medicine-pediatric program that provides comprehensive exposure to the diagnosis, treatment and management of allergic immunologic diseases in adults and children. NIH Mentor: Colleen Hadigan, M.D. The NIAID Allergy and Immunology Clinical Fellowship Program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). "Pediatric Allergy and Immunology Fellowship at Johns Hopkins provided excellent clinical and research training in a supportive and congenial work environment. Graduate Student Funding Opportunities (xlsx file; updated March 1, 2023) This is a continuously updated repository of federal and private funding opportunities that are intended for graduate students. Candidates will be ranked in the National Residency Matching Program (NRMP) and receive the results of the match as per NRMP notification date. (2010) Asthma Sinus Allergy Program Pavilion North 6535 N Charles St Ste 450 Towson . Allergy and Immunology Fellowship Program Overview Our program is primarily based at Children's Hospital Colorado (CHCO), with adult clinics and consultative services at the University of Colorado Hospital (UCH), both are based at the Anschutz Medical Campus in Aurora, Colorado. Have a question? These range from basic cell and molecular biology or immunology to clinical research endeavors: Didactic sessions in the training program include. Website: https://www.hopkinsmedicine.org/allergy/education/clinical-training-program/ Building 10, Room 12C103, MSC 1899 The modern, well-equipped laboratories and out-patient clinics provide an excellent milieu for conducting clinical and basic research in human immunology. The pediatric allergy and immunology rotation at Childrens National Health System is designed to provide training in the breadth of allergic and immunologic disease seen in children. Head of Clinical Development, Microbial Sciences Over a 3-month block, first year fellows will receive education and training in outpatient clinics with multidisciplinary exposure in pulmonology, bone marrow transplant, gastroenterology, and/or rheumatology. (2012) Clinical training will be supplemented with allergy journal clubs. We provide personalized diagnosis and treatment for children and adolescents with a wide range of allergies in the USF Pediatric Allergy/Immunology Program at Johns Hopkins All Children's Hospital. The NIH Clinical Center includes 200 inpatient beds and 93 day hospital stations, as well as 15 outpatient clinics. The presence of more than 70 different specialty-training programs at these institutions further endorses the overall environment of the pursuit of knowledge. The NIAID Allergy and Immunology Clinical Fellowship Program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). NIH Mentor: Tony Fauci, M.D. Masks are required inside all of our care facilities. Jenna R.E. Ph.D. (2011) Job Req ID: 107471. Wood, MD Chief Medical Research Officer, U.S. Public Health Service Commissioned Corps Home of our non-cancerous infusions for patients with immunologic disorders, Tel: 212-659-9510 Physician 65 Immunology jobs available in York Ridge, MD on Indeed.com. These hospitals have a varied patient population that allows exposure to a wide array of allergy and clinical immunology problems. Rosalyn Baker, M.D, M.H.S. ; Chioma Udemgba, M.D. (2011) The NHLBI pulmonary consult and pulmonary function lab rotation provides training in the laboratory evaluation of airway function (including pulmonary function testing, methacholine challenge, and exercise challenge testing), asthma diagnosis and management, asthma management in special circumstances (e.g., pregnancy), occupational lung disease, allergic bronchopulmonary aspergillosis, and the evaluation of pulmonary disease in patients with immunologic diseases. Allergist/Immunologist, Meritus Health After finishing medical school at the Medical University of Sofia in Bulgaria, Dr. Bankova conducted research at the Department of Dermatology at the Friedrich Schiller University in Jena, Germany and at the Johns Hopkins Asthma and Allergy Center. Physician, Walter Reed Military Medical Center Associate Program Director (2020) Satyen Manilal Gada, MD Director, Allergy/Immunology Training Program Adventures from the Johns Hopkins University School of Medicine. We guarantee funding for 3 years (ACGME and research) We offer outstanding clinical rotations to a wide variety of hospitals in the Washington DC area. Consultative services in allergy and clinical immunology are provided for inpatients in both the Johns Hopkins Hospital and the Johns Hopkins Bayview Medical Center. NIH Mentor: Dr. Cohen M.D. Application Deadline Fellows who successfully complete all training program requirements in the first two years are eligible to sit for the American Board of Allergy and Immunology Certification Examination. Our contact information, email: cweaver7@jhmi.edu. in Psychology from Harvard College, a medical degree from Johns Hopkins University School of Medicine and completed postdoctoral training at Brigham and Women's Hospital / Harvard Medical School in Internal Medicine and Allergy and Immunology. In addition to the Primary Immune Deficiency Continuity Clinic, fellows can elect this site for their basic allergy and immunology continuity clinic. History. NIH Mentor: Julie Ledgerwood, D.O. Find more COVID-19 testing locations on Maryland.gov. Both hospitals sponsor weekly multidisciplinary conferences in which clinical problems are reviewed. NIH Mentor: Amy Klion, M.D. Medical Officer Gilead Sciences, Inc. Email: cweaver7@jhmi.edu 2 years Marla Redmond This provider currently accepts 40 insurance plans including Medicare and Medicaid. Dr. Jones treats patients with allergic and immunologic disorders including asthma, food allergy, atopic dermatitis, allergic rhinitis, drug allergy, eosinophilic esophagitis, and primary immunodeficiency. Edwin Mayah, MBA, MHA Director, Allergy Immunology Consult Service Laboratory of Clinical Immunology and Microbiology, NIAID/NIH Phone: 301-761-6276 Fax: 301-480-5022 E-mail: jenna.bergerson@nih.gov 10 Center Dr, Building 10, 11C440 Bethesda, MD 20892-1899 Johns Hopkins allergist and otolaryngologist Sandra Lin answers questions about sublingual immunotherapy (SLIT) for allergy treatment. Clinical training consists of 1 full year of extensive clinical training in outpatient and inpatient allergy and immunology, with rotations at the NIH Clinical Center, the Childrens National Health System, the Johns Hopkins Pediatric Allergy Clinic, the George Washington University, and a local private practice. Joint Residency (Fellowship) Availability Candidates from Internal Medicine, Pediatrics or Medicine/Pediatrics core residency programs may apply. Training Program Director (2008) (LCIM) and Pamela Guerrerio M.D., Ph.D. (LAD), Pavle Mulitinovic, M.D., Ph.D. (2020) Allergy and Clinical Immunology Fellowship Program Details, See all Allergy and Clinical Immunology Programs, Allergy and Clinical Immunology Fellowship Program, Allergy and Clinical Immunology Fellowship, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Anesthesiology and Critical Care Medicine, McKusick-Nathans Institute of Genetic Medicine, The Sidney Kimmel Comprehensive Cancer Center. Electives for Residents and Students Assistant Professor of Clinical Medicine Each hospital has a unique character and attracts referrals for treatment and evaluation of a broad spectrum of allergic and immunologic of disease processes. The program is ACGME-accredited in all major areas of microbial identification and susceptibility testing. The topics usually covered in such seminars include fundamentals of good grant writing, general preparation of the grant application (i.e., specific aims, research design, budgets, analysis of reviews, and strategies for rebuttal and re-application), roles and responsibilities of the extramural program officer and of the scientific review administrator, and an overview of various available funding mechanisms (e.g., career development awards [K and RO1] and the National Science Foundation Grant Awards). Masks are required inside all of our care facilities. CNHS Mentors: Mike Keller M.D. University of Virginia Health Systems Email: jenna.bergerson@nih.gov Moderna (2009) Ashley Altman, D.O. An elective in Clinical Immunology and Allergy is available for internal medicine and pediatric residents (information at: http://www.cc.nih.gov/training/physicians/allergy_immunology.html) Hear what three fellows have to say and get an inside perspective of fellowship life at Johns Hopkins. David Furfaro*** (2017-2018; 2019-2021) Residency: Johns Hopkins Hospital. Lee-Jah Chang, M.D. We are vaccinating all eligible patients. Robert A. Fellowship applications for 2023-24 fellowship year will be accepted through ERAS starting July 5, 2022 to July 31, 2022. For contact information, search the NIH Enterprise Directory. Masks are required inside all of our care facilities. 1-2 Medicine, 1 Pediatric Fax: (301) 319-8299 Bergerson, M.D., M.P.H. Some common symptoms you might see if your child has an allergic or immunologic condition can include chronic runny nose, cough, itchiness or hives; reaction to certain drugs, insects or vaccines; or recurrent infections.
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